Neck pain radiated to the arm and elbow with numbness in the index finger

Dear Ask The Doctor: I had ACDF fusion of the C-5 to C-7 in May of 2009 and now have pain running to right shoulder all the way down to elbow to my index fingers (numbness,tingling). My elbow feels like a bad bruise for the last 3 weeks and havin problems holding onto things. My right arm feels dead.

Dear Scott: Your description corresponds most likely with a cervical nerve compression but it would be also important to rule out inflammation of the peripheral nerves at the level of the arm and hand. You have a previous history of cervical spine surgery almost three years ago, it is not uncommon that scar tissue grows in the site and along with degenerative bone changes might be causing nerve compression symptoms. The treatment strategy usually includes: physical therapy program aimed to reduce pain and inflammation, and the use of anti-inflammatory medication (“Motrin”, “Aleve”), also a re-education of your habits and posture to improve quality of life. You should be independent in a stretching and strengthening program and continue with these exercises under the periodic supervision of a physical therapist initially and then completely on your own. If your condition fails to improve with a comprehensive rehabilitation program and selective injections you should discuss with your doctor if you are candidate for a re intervention to decompress the nerves affected.